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1346223468
RUSSELL WADE MCCULLOUGH
LEES SUMMIT, MO
NPI
1346223468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MO 2001006773)
Enumeration Date
2005-11-22
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL WADE MCCULLOUGH DO
3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064-2357
Phone number: 816-251-1200
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Mailing Address
Dr. RUSSELL WADE MCCULLOUGH DO
3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064-2357
Phone number: 816-251-1200
Copy
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